Download Quick start guide

CoughAssist E70
Quick start guide
1
Device overview
6
Device menu
2
Starting therapy
7
Mask fitting
3
Modifying therapy settings
4
Monitoring view and icons
5
Suggested guidelines for therapy
1
Device overview
1
1 Display screen
2
2 Manual switch
to activate inhale (right)
and exhale (left) phases
1 : Auto
05/24/2012 05:02 PM
Standby
3 Power on/Power off
Peak Cough Flow
222
23 l/min
l/min
-40
cmH2O
4 Perform action specified
2.0
Exhale
Settings
Sec
SpO2
HR
99
86
2.0
Sec
Tidal Volume
509 ml
514
+40
Pause
cmH2O
2.0
Inhale
Menu
Sec
Therapy
on screen
5 Navigate menus or
CoughAssist E70
change setup
7
7
4
8
5
3
6 Breathing circuit connection
7 Fan exhaust – Air outlet
9
must be kept uncovered
8 Detachable battery
9 Filter – Air inlet
10 AC power inlet
6
10
11 Remote control connector
12 USB connector (for service only)
11
13
13 SpO2 connector
14 DC power inlet
10
12 14
Note: When the remote control
foot pedal is connected, the manual
switch is disabled.
2
Starting therapy
How to start/stop therapy
1 : Auto
1 : Auto
05/24/2012 05:02 PM
Standby
Peak Cough Flow
---23 l/min
l/min
-40
cmH2O
2.0
Exhale
Settings
Sec
SpO2
HR
2.0
Sec
03/01/2012 07:04
05/24/2012
07:03 PM
60
99
86
Tidal Volume
---509mlml
+40
Pause
Menu
cmH2O
2.0
Inhale
Sec
Therapy
CoughAssist E70
40
20
Peak Cough Flow
222
--23 l/min
l/min
-40
cmH2O
2.0
-Exhale
Settings
Sec
Standby
0
SpO2
HR
Sec
Pause
To stop therapy
•Select Standby
•Select Therapy to start
the treatment
cmH2O
60 cmH2O
509
507
--- mlml
2.0
--
Inhale
Sec
Therapy
Standby
CoughAssist E70
Connect the device to AC
or DC power source or use
the detachable battery
to power on the
40
Tidal Volume
+40
Menu
To start therapy
•Press
device
20
99
86
2.0
•To turn power off, press
How to lock/unlock
Limited access (lock) permits the user to select between Preset therapy
settings, while Full access (unlock) will allow the user to change all settings.
1 : Auto
1 : Auto
05/24/2012 05:02 PM
03/01/2012
31/05/2012 07:03
09:39 AM
PM
Standby
Peak Cough Flow
222
23 l/min
l/min
-40
cmH2O
2.0
Exhale
Settings
Sec
SpO2
HR
2.0
Sec
Standby
Options
99
86
Tidal Volume
509 ml
514
+40
Pause
Menu
cmH2O
2.0
Inhale
Sec
Therapy
CoughAssist E70
To temporarily unlock
the device
Menu Access
Full
Detailed
ViewCough Flow
ONl/min
Peak
Language
English
Pressure Units
cmH2O
LCD Brightness
5
Date Format
dd/mm/yyyy
cmH2O
Sec
Time Format
hh:mm AM
Month
5
Day
31
Year
2012
Hour
9 AM
--23
-40
SpO2
HR
99
86
--
Exhale
Settings
Finish
Tidal Volume
509
--- mlml
+40
Pause
cmH2O
Navigate
Menu
-Inhale
Sec
Therapy
Modify
CoughAssist E70
To select access option
•Press the up button
below Menu
•While in Standby, press the down
below Menu and
button
hold manual switch
to the
right for 5 seconds
•While ‘Option’ is highlighted in
green, press Select
Note: When
appears on the
main screen, the device is unlocked.
If the Access menu is not set to Full,
the device will switch automatically
to limited access after 5 minutes of
inactivity.
•Press OK to validate
•While ‘Menu Access’ is
highlighted, press Modify and
then Edit to select ‘Limited’ or
‘Full’ access
•Press Finish and Exit to return
to the main screen
3
Modifying therapy settings
1 : Auto
05/24/2012 05:02 PM
Standby
To modify settings
Peak Cough Flow
222
23 l/min
l/min
-40
cmH2O
Exhale
2.0
Sec
SpO2
HR
99
86
2.0
Sec
Tidal Volume
cmH2O
•The therapy settings are accessible
through the left button
below
Settings
Settings
Menu
CoughAssist E70
•The scroll buttons
allow
selection of desired parameter
•Pressing Modify will allow changing
the parameter highlighted in green,
OK validates the choice and Finish
returns to main screen
•Three Presets are available to save
a group of settings for different
circumstances
509 ml
514
+40
Pause
2.0
Inhale
Sec
Therapy
1 : Auto Oscillation
03/01/2012
06/11/2012 07:03
08:46 AM
PM
Peak Cough Flow
Tidal Volume
Standby
Settings
----
---
l/min
ml
Mode
Auto
Cough-Trak
Peak Cough Flow OFF l/min
Inhale Pressure
40 cmH2O
Inhale Flow
Medium
Inhale Time
2.0 sec
Exhale Pressure
-40 cmH2O
cmH2O
Sec
Exhale Time
2.0 sec
Pause Time
2.0 sec
Oscillation
Inhale
Frequency
1 Hz
Amplitude
1 cmH2O
SpO2
HR
--23
-40
99cmH2O
86
--
509
--- mlml
+40
Pause
Exhale
Settings
Finish
Tidal Volume
Navigate
Menu
cmH2O
-Inhale
Sec
sec
Therapy
Modify
CoughAssist E70
The settings available are displayed in the table below:
Preset
Mode
Cough-Trak
Inhale pressure
Inhale flow
Inhale time
Exhale pressure
Exhale time
Pause time
1, 2, 3
Auto, Manual
OFF/ON
Only available in Auto mode
0 to 70 cmH2O, in increments of 1 cmH2O
Low, Medium, High
0 to 5s, in increments of 0.1s
Only available in Auto mode
0 to -70 cmH2O, in increments of 1 cmH2O
0 to 5s, in increments of 0.1s
Only available in Auto mode
0 to 5s, in increments of 0.1s
Only available in Auto mode with Cough-Trak OFF
Oscillation
Frequency
Amplitude
OFF/Inhale/Exhale/Both
1 to 20 Hz, in increments of 1 Hz Only available if Oscillation set
1 to 10 cmH2O, in increments of 1 cmH2O
Only available if Oscillation set
Note: Any change of setting made during therapy will automatically take
effect at the beginning of that phase in the next cycle.
s
4
Monitoring view and icons
To change monitoring view
•Press the up button
Menu
below
•While ‘Option’ is highlighted in
green, press Select and navigate
down to ‘Detailed View’
•Press Modify and Edit to change
‘OFF’ or ‘ON’
Detailed View ‘ON’
1 : Auto
03/01/2012 07:04
07:03 PM
60
40
20
Peak Cough Flow
280
--23 l/min
l/min
-40
Exhale
20
40
99
86
60 cmH2O
Tidal Volume
509
507
--- mlml
+40
Sec
Sec
cmH2O
Pause
Settings
•Press OK to validate
0
SpO2
HR
2.0
2.0
--
cmH2O
Standby
2.0
-Inhale
Menu
Sec
Therapy
Standby
•Press Finish and Exit to return
to the main screen
Note: When selecting detailed
view ‘OFF’, the following parameters
are not displayed:
– Peak Cough Flow
– SpO2
– HR
– Tidal Volume
– Exhale and Inhale Time
setting and counter
– Pause Time setting
CoughAssist E70
Detailed View
‘OFF’
Manual
11 ::Auto
03/01/2012 07:02
07:03 PM
60
40
20
-40 --23 l/min
cmH2O
Peak Cough Flow
Exhale
-40
cmH2O
Exhale
Settings
Standby
0
SpO2
HR
-Sec
20
40
99
86
60 cmH2O
+40 509
--- mlml
Tidal Volume
cmH2O
+40
Pause
Menu
CoughAssist E70
cmH2O
Inhale
Inhale
-Sec
Standby
Therapy
s
Symbols and icons
Color code:
green = pause
yellow = exhale
blue = inhale
Pulse oximeter: green means
connected (flashing)
?
?
With ? means questionable data
SD card inserted
?
Breath synchronization tool:
displayed remaining time of each
phase during Auto mode
SD card error
?
?? writing:
Memory card
copying data? to SD card
?
Full access
?
?
Remote control:
(foot pedal) connected
External battery indicator:
red = few minutes left
Detachable battery indicator:
red = few minutes left
?
?
----
No measurement is performed
or questionable data
?
Informational message:
information available in the
Information Log
Power source in use indicator:
box is placed around the
battery being used
Charging indicator: detachable
battery is being charged
5
Suggested guidelines for the
Standard treatment procedure
Adapting to the patient
For a patient using this device for
the first time, it is advisable to
begin with lower pressures, such
as 10 – 15 cmH2O positive and
negative pressure, and low inhale
flow. It will familiarize the patient
with the feel of mechanical
insufflation-exsufflation.
Cough-Trak may also be enabled
to help synchronize the therapy
with the patient’s inspiratory effort
to make acclimation to the therapy
easier.
Oscillation can be enabled to
enhance mobilization and improve
bronchial drainage.
General therapy description
•1 cough cycle is composed of
an inspiratory, expiratory and
pause phase
•4 to 6 cough cycles compose a
sequence
As the patient becomes more
comfortable with the therapy,
progressively increase the
inspiratory and expiratory
pressures by 5 to 10 cmH2O
each sequence of 4 to 6 breaths.
Effective pressures may be
around 35 – 45 cmH2O.
•20 to 30 seconds of resting time
is suggested between sequences,
allowing for secretion removal
•A treatment is composed of 4 to 6
sequences and can be performed
several times a day, whenever
needed
•Preferably, therapy should be
performed in the morning, before
meals and bedtime
Tip: To help the patient understand and become comfortable with the
therapy, the patient synchronization dial
is provided in the center of
the screen during Auto mode.
herapy
Feature
Adults
Basics
Customize
Follow-up
Pediatrics
+/- 35 up to +/- 45
adjust to patient condition
Effective pressure
(cmH2O)
Inhale time (in s)
2 to 3
1 to 2
Exhale time (in s)
2 to 3
2 or less
Pause time (in s)
In Auto mode
2 to 3
As small as possible
Oscillation
During inspi
and/or exp time
The higher the frequency and the lower the
amplitude, the less the patient will feel the
oscillation; we suggest starting at a high frequency
and low amplitude and adjusting the settings until
the patient is comfortable
Cough-Trak
triggering feature
In Auto mode
For patients who have some inspiratory drive this
feature will trigger on the patient’s inspiration to help
synchronize the therapy with the patient’s effort.
Mode and
Preset
Therapy parameters can be titrated/modified in
Manual mode to evaluate the best therapy for the
patient before setting up automatic settings
Up to 3 different Presets can be saved to provide
different therapies (i.e. prophylactic use, mucus
plugs, lung volume recruitment, etc.)
Data
management
Data such as peak cough flow, tidal volume,
SpO2 or time counters, available in detailed view
ON, can be useful for both setting therapy
parameters and assessing therapy efficiency
DirectView
EncorePro
Therapy data recorded (internal memory and SD
card): peak cough flow, tidal volume, pressure,
SpO2 , heart rate, pattern of usage
The settings should always be checked before beginning therapy.
Guidelines are intended to serve only as reference. They do not supersede
established medical protocols or instructions from physician.
6
Device menu
To access device menu, press the up button
below
the menu.
The menu selection and their corresponding parameters are
displayed in the table below:
Options
LCD brightness, date format, time format, month,
day, year, hour and minutes.
Only in Full access mode: menu access, detailed view,
language, pressure units, therapy hours
Data
SpO2 , heart rate (HR), peak cough flow, tidal
volume, serial number, model number, software
version, calibration date, SD card capacity,
detach battery serial number, detach battery
?
cycles, therapy hours
Information
Log
Informational messages about the device will be
icon. The log menu displays
indicated by the
the list of messages that occurred, i.e. ‘battery not
charging’ or ‘replace battery’ and allows them to
be cleared
Clear
Patient Data
Allows clearing previous data from device
memory and SD card to record new data
(i.e. for a new patient)
Safely Remove
SD Card
Allows removing SD card without risk of
losing or damaging recorded information;
follow messages displayed on screen
Write Event
Log to SD Card
Copies event log data from the device to the
SD Card; follow message displayed on screen
7
Mask fitting
To choose a well fitted
mask, ensure the
entire mouth and
nose are included
inside the mask.
Landmarks
a Side of mouth
b Bridge of nose zone
c Below the lower lip
Make sure the top of
the cushion is not too
high on the bridge of
the nose area. No leak
should remain.
L
W
b
a
a
c
Mask size (cm)
Length
Width
Height
Infant
7.0
6.6
4.9
Toddler
8.8
8.0
5.9
Small adult
11.5
9.5
8.1
Medium adult
12.3
10.2
9.0
Large adult
12.5
11.0
9.0
Mouthpiece
Trach
adapter
Toddler
mask
Small, medium
and large masks
Philips Healthcare is part of
Royal Philips Electronics
Philips Respironics Asia Pacific
+65 6882 5282
How to reach us
www.philips.com/healthcare
[email protected]
Philips Respironics Australia
+61 (2) 9947 0440
1300 766 488 (toll free, Australia only)
Asia
+49 7031 463 2254
Philips Respironics China
+86 400 828 6665
+86 800 828 6665
Europe, Middle East, Africa
+49 7031 463 2254
Latin America
+55 11 2125 0744
Philips Respironics Deutschland
+49 8152 93 06 0
Philips Respironics France
+33 2 51 89 36 00
North America
+1 425 487 7000
800 285 5585 (toll free, US only)
Philips Respironics
1010 Murry Ridge Lane
Murrysville, PA 15668
Customer Service
+1 724 387 4000
800 345 6443 (toll free, US only)
Philips Respironics International
Headquarters
+33 1 47 28 30 82
Philips Respironics Italy
+39 039 203 1
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+46 8 120 45 900
Philips Respironics Switzerland
+41 6 27 45 17 50
Philips Respironics United Kingdom
+44 800 1300 845
www.philips.com/respironics
This guide contains abstracted information from the User Manual; please refer
to the latest for complete information regarding the CoughAssist E70 device.
© 2012 Koninklijke Philips Electronics N.V. All rights are reserved.
CoughAssist E70 is registered trademark of Philips.
Philips Healthcare reserves the right to make changes in specifications and/or to
discontinue any product at any time without notice or obligation and will not be
liable for any consequences resulting from the use of this publication.
Broudy AE 7/2/12 MCI 4104775 PN 1099397